CareStream is a healthcare technology company that helps independent medical practices generate sustainable revenue through Medicare care management programs. We manage the full operational layer: enrollment, documentation, compliance, and billing, so practices can focus on delivering care.
Medicare has created a set of care management programs - APCM, CCM, RPM, TCM, BHI, and others - specifically designed to reimburse primary care practices for the chronic disease management, remote monitoring, and care coordination work they do every day. The reimbursement is meaningful. The documentation requirements are real.
Most independent practices never capture this revenue. Not because they are not doing the work, but because they do not have the systems, staff, or compliance infrastructure to bill correctly and consistently. Large health systems and hospital-employed groups do. Independent practices mostly do not.
CareStream exists to change that. We provide independent practices with the same operational capability that enterprise systems have, without requiring them to hire additional staff, purchase multiple platforms, or become billing experts.
Medicare reimburses primary care practices for care management, but most independent practices do not have the infrastructure to participate. The billing codes exist. The patients qualify. The revenue is uncaptured.
Billing care management without compliant documentation creates audit liability. Practices that try to manage programs in-house without purpose-built systems often find they cannot substantiate the claims they have already submitted.
We handle the full operational layer: patient identification, documented care activity, time tracking, and compliant billing, so practices can generate this revenue without taking on new administrative burden or compliance risk.
Large health systems have entire departments dedicated to care management. Independent practices — which see the majority of Medicare patients — have been left to figure it out alone. We built Medistics to close that gap.
Every claim we submit is backed by documented, compliant care activity. We do not take shortcuts on time tracking, consent, or documentation — because a billing error is not just a financial risk, it is a trust risk.
Our model is built around removing administrative burden, not adding to it. From patient identification to monthly claim submission, we handle the operational layer so your team can stay focused on patients.
Care management programs generate recurring monthly revenue tied to enrolled patients, not visit volume. We help practices build a revenue stream that is stable, scalable, and aligned with the work they are already doing.
CareStream operates 8 Medicare care management programs. Most practices qualify for 3 to 5 simultaneously, and they can be billed in combination to significantly increase per-patient monthly revenue.
CareStream primarily serves independent primary care practices, internal medicine groups, family medicine clinics, and specialty practices with a significant Medicare patient population.
Our clients range from solo practitioners to multi-provider group practices. The common thread is that they serve Medicare beneficiaries with chronic conditions, and they want a reliable, compliant way to capture the care management revenue those patients generate.
CareStream operates as a fully managed service — we handle the complete operational layer so your team can stay focused on patients.
Patient identification, enrollment, care activity, documentation, time tracking, and monthly billing — fully managed by the CareStream team. The practice reviews a monthly report and receives payment.
Learn about Fully ManagedWe will assess your patient panel, identify which programs fit, and show you what recurring monthly revenue looks like for your specific practice size and complexity.